Individual
MICHAEL CHANDLER SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-9667
Mailing address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-9667
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD-48332
IA
207P00000X
Emergency Medicine Physician
Primary
S4683
TX
Other
Enumeration date
03/19/2018
Last updated
09/30/2022
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